Utilization Review Manager - Home Care jobs in Fresno, CA

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Interim Utilization Review RN Manager
  • FirstChoice
  • Fresno, CA CONTRACTOR,TEMPORARY,FULL_TIME
  • Are you an Acute Care Utilization Review RN Manager seeking your next adventure?

    Duration: 13-week Assignment

    This key leadership role, is responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered while supporting the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely delivery of utilization review, discharge planning and support case management and the psychosocial services to patients, families, and hospital staff

    Requirements

    • State of California Registered Nurse (RN) License.
    • Current American Heart Association (AHA) BLS Certification.
    • Minimum of 2 years of hospital URM supervisory/management experience.
    • MCG or InterQual Certification, preferred.

    $4300.00 Gross Weekly Rate Includes Tax Free Stipend

    Job Types: Full-time, Contract, Temporary

    Pay: $4,300.00 per week

    Benefits:

    • 401(k)

    Healthcare setting:

    • Acute care
    • Hospital
    • Inpatient

    Schedule:

    • Day shift
    • Monday to Friday

    Experience:

    • Utilization Review Manager: 2 years (Required)

    License/Certification:

    • RN (Preferred)

    Work Location: In person

  • 1 Month Ago

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Utilization Review and Intake Specialist
  • My Time Recovery
  • Fresno, CA FULL_TIME
  • Utilization Review Specialist and Intake Coordinator Job Description Conduct thorough reviews of client treatment plans to ensure alignment with established clinical guidelines, insurance requirements...
  • 19 Days Ago

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Lead Utilization Review Coordinator
  • Clinical Management Consultants
  • Tulare, CA FULL_TIME
  • Are you an experienced Registered Nurse looking for the next step up in your nurse leadership career? We have an exciting opportunity to join an award-winning medical center as a Lead Utilization Revi...
  • 14 Days Ago

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Lead Utilization Review Coordinator
  • Clinical Management Consultants
  • Tulare, CA FULL_TIME
  • Are you an experienced Registered Nurse looking for the next step up in your nurse leadership career? We have an exciting opportunity to join an award-winning medical center as a Lead Utilization Revi...
  • 14 Days Ago

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FSH RN Discharge/Utilization Review Nurse
  • USPI
  • Fresno, CA FULL_TIME
  • Fresno Surgical Hospital is an extraordinary hospital created entirely to deliver excellence and quality in surgical care to each patient. Our unique facility and staff provide a hospitality- inspired...
  • 19 Days Ago

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Home Care Aide
  • Compassionate Care In Home Care, LLC
  • Madera, CA FULL_TIME
  • Benefits: Flexible schedule Paid time off Are you passionate about enhancing and impacting the lives of local seniors and other individuals? Here’s your chance to work one-on-one with clients in their...
  • Just Posted

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0 Utilization Review Manager - Home Care jobs found in Fresno, CA area

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RN Case Manager, Discharge Planning
  • Community Health System - CA
  • Fresno, CA
  • Overview: *All positions are located in Fresno/Clovis CA* Opportunities for you! Join a Forbes Top 10 CA Employer! Free ...
  • 4/23/2024 12:00:00 AM

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Utilization Management Manager
  • Medasource
  • Fresno, CA
  • Job Title: Utilization Management Manager Location: Fresno, California (travel reimbursement if needed) Start Date: ASAP...
  • 4/21/2024 12:00:00 AM

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Utilization Management Manager
  • Medasource
  • Fresno, CA
  • Job Title: Interim Case Management Manager Client: Large Healthcare Provider Location: Fresno, California Start Date: AS...
  • 4/21/2024 12:00:00 AM

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Travel Nurse RN - Manager - $4,300 per week
  • Trinity Health FirstChoice
  • Fresno, CA
  • Trinity Health FirstChoice is seeking a travel nurse RN Manager for a travel nursing job in Fresno, California. Job Desc...
  • 4/21/2024 12:00:00 AM

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RN Case Manager, Social Services
  • Community Health System - CA
  • Clovis, CA
  • Overview: *All positions are located in Fresno/Clovis CA* Opportunities for you! Join a Forbes Top 10 CA Employer! Free ...
  • 4/21/2024 12:00:00 AM

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Medical Management Services Manager - RN Required (on-site)
  • CalViva Health
  • Fresno, CA
  • Job Description Job Description POSITION SUMMARY: This position is responsible for oversight and management of CalViva H...
  • 4/21/2024 12:00:00 AM

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RN Case Manager, Discharge Planning
  • Community Health System - Ca
  • Fresno, CA
  • Overview:*All positions are located in Fresno/Clovis CA* Opportunities for you! Join a Forbes Top 10 CA Employer! Free C...
  • 4/20/2024 12:00:00 AM

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Travel Nurse RN - Manager - $4,300 per week
  • Hiring Now!
  • Fresno, CA
  • Trinity Health FirstChoice is seeking a travel nurse RN Manager for a travel nursing job in Fresno, California. Job Desc...
  • 4/20/2024 12:00:00 AM

Fresno (/ˈfrɛznoʊ/ FREZ-noh; Spanish for "ash tree") is a city in California, United States, and the county seat of Fresno County. It covers about 112 square miles (290 km2) in the center of the San Joaquin Valley, the southern portion of California's Central Valley. Named for the abundant ash trees lining the San Joaquin River, Fresno was founded in 1872 as a railway station of the Central Pacific Railroad before it was incorporated in 1885. The city has since become an economic hub of Fresno County and the San Joaquin Valley, with much of the surrounding areas in the Metropolitan Fresno regi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$76,414 to $97,421
Fresno, California area prices
were up 2.7% from a year ago